Chapter 108: Assistant

"Remember, you can only eat a liquid diet, and you can start eating a semi-liquid diet tomorrow and the day after tomorrow, and slowly transition to normal meals. As for activity, it's best to wait until noon and stay in bed for 24 hours before starting. ”

On Saturday morning, in the fourth ward of the Department of Neurosurgery, after checking the implementation of Wu Dayong's instructions, standing in front of the bed, Tian Lu patiently explained: "In addition, let's strive to do a CT non-contrast scan and enhanced MRI this afternoon to clarify the degree of tumor resection, and to determine the next adjuvant treatment plan, okay?"

"Okay!"

Wu Dayong opened his mouth, as if he wanted to say something, but Father Wu hurriedly said: "Doctor Tian, what you say, let's do it!"

Frowning, feeling that Father Wu's tone was a little strange, Tian Lu glanced at the three of them, and immediately noticed the strange look on Wu Dayong's face, and couldn't help but ask with some confusion: "What's wrong?"

"No, no problem. ”

Under his father's frequent glances, Wu Dayong shook his head a little deflated.

was stunned, and Tian Lu reacted instantly!

If at this time, Tian Lu still doesn't understand what is going on, then he will be too dull. However, he has never been in charge of patients in China, so he really doesn't know what to do when he encounters this situation.

Although the cost of the examination is not very much, Tian Lu knows that the hospitalization fee is such a crazy accumulation, and finally forms a huge number!

However, in the concept of Tian Lu, these two post-operative examinations are very important!

Wu Dayong does not have medical insurance, Tian Lu knows this, and looking at the clothes of the family, he must not be very rich. After weighing it fiercely in his heart, Tian Lu sighed, shook his head apologetically, and said, "That's it, today's examination must be done, but I will try to consider the follow-up adjuvant treatment plan, okay?"

"Thank you, thank you, Dr. Tian!"

Wu Dayong hadn't reacted yet, but his father had already smiled and thanked him again and again.

Smiling and politely, Tian Lu emphasized some precautions before turning around and leaving the fourth ward. After only a moment's hesitation outside the door, Tian Lu walked into the third ward again.

"Teacher Tian, it's early!"

As soon as he walked into the third ward, he happened to meet a little nurse who went out after changing the saline bag for the patient in the ninth bed, and after seeing Tian Lu, his face was quickly replaced with a sweet smile, and his voice was numb and crispy, which made him tremble when he heard it!

Looking at the little nurse in the distance, Tian Lu was stunned.

What's wrong?

Shaking his head, Tian Lu didn't think much about it anymore, and walked straight to Ling Feifei's bedside.

Yue Hua, who had seen him a long time ago, had already stood up, but at this time, his face was full of melancholy, and he did not take the initiative to say hello as usual, but Ling Feifei, who was sullen on weekdays, looked much more energetic, and even took the initiative to give a smile when he saw Tian Lu!

"Has Dr. Zhang arranged a new examination for you?"

When he handed over the shift in the morning, he didn't hear Zhang Jie's report about Ling Feifei, Tian Lu was a little worried, but he decided to come over and have a look.

"It's been arranged. ”

After saying hello casually, Yue Hua asked very worriedly: "Doctor Tian, what kind of puncture and imaging examination did Dr. Zhang said, what is going on? Is it going to be penetrated into the head? Will it hurt Fei Fei's brain? Why does it sound so panicked!"

Tian Lu was surprised and asked, "What's the matter?" Didn't Dr. Zhang explain it to you clearly?"

"Nope!"

Speaking of Zhang Jie, Yue Hua was slightly angry, but he still couldn't help but whisper: "Doctor Zhang came down to inform us yesterday, saying that he would do that examination for Fei Fei this morning, but he may have been in a bad mood at the time, so he left after a few words." ”

After listening to Yue Hua's story, Tian Lu's face sank slightly, but after a while, he was immediately full of smiles again, and said softly: "Well, Dr. Zhang was very busy yesterday, maybe there was something wrong at that time, so let me explain it to you, okay?"

"Thank you so much!"

Yue Hua was immediately overjoyed and hurriedly said.

"Well, that's right, you also know that Fei Fei's illness is because she has cysts in her head, and it is not good to treat them repeatedly, so I suspect that there are cysts in the ventricles of the brain. ”

Tian Lu explained seriously: "However, because of the particularity of the cyst structure, sometimes conventional CT and MRI examinations cannot be found, so it is necessary to use ventriculography to confirm the diagnosis." The specific method, to put it bluntly, is to drill a small hole in the head, and then inject gas, or iodophenyl and something like that, into the ventricles, and then you can use CT to see the lesion. ”

In the simplest language, the meaning and method of the examination were explained, and Tian Lu then said in a deep voice: "This technique is indeed invasive, and it is relatively rarely used in clinical practice. But for Fei Fei, if she wants to confirm whether it is ventricular cysticercosis, she still has to do it!"

Tian Lu's explanation was very clear, although Yue Hua looked worried, but he didn't say anything anymore, but Ling Feifei, the little girl, asked calmly: "Then if I find it in the brain ventricle, will my head have a bigger hole?"

"Ugh。。。。。。 ”

Listening to Ling Feifei's words, she seemed to understand what was going to happen to her in the future, but looking at her expression, it didn't seem to be like it, Tian Lu hesitated, but still nodded and said: "Yes, if it is diagnosed that there is something in the ventricles, I am afraid that you will have to be arranged for surgery to remove it as soon as possible." ”

Speaking of which, not to mention Yue Hua, even Tian Lu, the doctor, had a dignified face.

In Tian Lu's view, although neurosurgery is effective, it may also bring many serious consequences. For example, hematoma, infection, epilepsy, high fever or diabetes insipidus, etc., so it should be a very heavy thing for a fifteen-year-old girl.

But obviously, Ling Feifei didn't think so!

"It doesn't matter, as long as it can make me no longer have a headache and no longer be hospitalized, even if I get a few more holes, it's no problem!" Ling Feifei said with an indifferent look.

"What nonsense!"

Yue Hua suddenly scolded her daughter a little angrily!

After being surprised, Tian Lu suddenly felt slightly distressed.

These days, how much sin this little girl has suffered, how eager she is to get rid of this life, so that she is so calm, and even a little looking forward to the exotraumatic surgery that ordinary people talk about!

Tian Lu could think of it, and Yue Hua, as a mother, could naturally also think of it, after scolding, seeing that her daughter was still stubborn, she couldn't help but step forward and hug Ling Feifei, tears streaming down!

After watching the bedside for a while, Tian Lu silently withdrew from the ward.

When he walked out, Tian Lu himself probably didn't notice it, his hands were already clenched into fists, and his lips were pursed tightly。。。。。

。。。。。。

The work of the neurosurgery department today was plain and orderly, until two o'clock in the afternoon, when Leng Yan sent someone to call Tian Lu into the office.

"This is the result of ventricular puncture of an eleven-bed patient, you can take a look. ”

After Tian Lu entered the door, Leng Yan didn't talk much nonsense, and directly handed over the inspection results.

Hurriedly took it, and Tian Lu looked at it carefully.

"Vesicle-like structures in the fourth ventricle occupy a mass, which can be considered to be caused by multiple cysts!"

After a while, Tian Lu said with a solemn face.

Nodding his head, he said coldly: "As I considered, it seems that your judgment should be correct, and you can basically recommend surgery to the patient." ”

It's strange that Tian Lu didn't have the slightest sense of excitement about his victory!

Speaking of this, his cold expression suddenly became a little embarrassed.

"What, what's the problem?"

Very sensitive to the change in his cold expression, Tian Lu asked a little strangely.

"Yes. ”

He nodded coldly, and said with some embarrassment: "The fourth ventricular cysticercosis is relatively rare, and there are not many people in our department who have been admitted to it before, and Zhang Jie has never done it, so I am a little worried about letting him do it。。。。。。 ”

"However, I don't think I can do the operation of the fourth ventricle for the time being, right?"

Tian Lu seemed to understand the meaning of Leng Yan, and said with some embarrassment.

If it comes to ability, he will definitely have no problem with the main surgery, but because of the problem of surgical classification, before he gets the title, it is better for him to abide by the rules.

"It's not for you to be the main operator, I'll do this surgery!"

Seeing that Tian Lu misunderstood what he meant, he quickly explained: "However, in the past, Corey's cases were all done by Zhang Lu, so I don't have much experience, so I want you and Zhang Jie to be my assistant." ”

Now, Tian Lu finally understands it completely!

The list of surgeries listed by Tian Lu showed that he had done this kind of surgery before, and Zhang Jie was Ling Feifei's doctor in charge, so it was a matter of course to ask the two of them to be assistants. However, considering the previous dispute between the two, Leng Yan said so, but the implied intention in it is probably more to ease the relationship between the two.

"Of course that's fine!"

Tian Lu didn't take the dispute between himself and Zhang Jie to heart, and nodded very simply: "I listen to your arrangement, in addition, I did two cases when I was in San Francisco, and I also wrote a relatively complete surgical plan, preoperative preparation, precautions and other things, why don't you go back and show it to you?"

"Well, of course that's good. ”

Although he didn't care very much, Leng Yan still nodded and smiled: "I have done relatively little in this regard, since there are ready-made things to refer to, it is great." ”

After the two discussed the general plan again, Tian Lu said goodbye and left.

After walking out of the office, Tian Lu finally couldn't help but smile.

Zheng Chou has no reason to intervene in Ling Feifei's surgery, but he didn't expect to encounter such an opportunity, hehe, now I have to think about it: under the guise of using the experience of San Francisco, what future things can be used on the little girl。。。。。。